OrganizationActive
Advanced Chiropratic and Sports Care LLC
NPI 1063730604 · Chiropractor · Canyon Lake, CA
Advanced Chiropratic and Sports Care LLC is a Chiropractor organization in Canyon Lake, CA (NPI 1063730604).
Provider details
- NPI number
- 1063730604
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Julie Zimmerer, Member(951) 244-7622
- License
- DC17619 (CA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31610 Railroad Canyon Rd Ste 4
Canyon Lake, CA 92587-9454
Phone: (951) 244-7622
Fax: (951) 246-2657
Street-level locationGet directions
Mailing address
31610 Railroad Canyon Rd Ste 4
Canyon Lake, CA 92587-9454
Registry dates
- Enumerated
- 2010-05-06
- Last updated
- 2010-05-06
Frequently asked questions
- What is Advanced Chiropratic and Sports Care LLC's NPI number?
- Advanced Chiropratic and Sports Care LLC's National Provider Identifier (NPI) is 1063730604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Chiropratic and Sports Care LLC?
- Advanced Chiropratic and Sports Care LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Advanced Chiropratic and Sports Care LLC located?
- Advanced Chiropratic and Sports Care LLC's practice location on file with NPPES is 31610 Railroad Canyon Rd Ste 4, Canyon Lake, CA 92587-9454.
- What is Advanced Chiropratic and Sports Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Chiropratic and Sports Care LLC is (951) 244-7622.
- Who is the authorized official for Advanced Chiropratic and Sports Care LLC?
- The authorized official listed on Advanced Chiropratic and Sports Care LLC's NPPES record is Julie Zimmerer, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Chiropratic and Sports Care LLC's NPI active?
- Yes — Advanced Chiropratic and Sports Care LLC's NPI (1063730604) is active in the NPPES registry as of the last update on 2010-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.